Nmg Affiliate Practice I, LLC
NPI #1386113835 in Gainesville, Virginia
Provider Information
- NPI Number
- 1386113835
- Entity Type
- Organization
- Organization Name
- Nmg Affiliate Practice I, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 14, 2018
- Last Updated
- Nov 14, 2018
Practice Location
- Address
- 8180 STONEWALL SHOPS SQ
- City
- Gainesville
- State
- Virginia
- ZIP Code
- 20155-3891
- Phone
- (703) 365-0227
Authorized Official
- Name
- SHALA DAVIS
- Title
- MANAGER
- Phone
- (704) 316-7845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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